申请书+一般原产地证实+ A.doc

原产地证明书申请书申请单位及注册号码（盖章）： 证书号：申请人郑重声明： 本人是被正式授权代表单位申请办理原产地证明书和签署本申请书的。本人所提供原产地证明书及所付单据内容正确无误，如发现弄虚作假，冒充证书所列货物，擅改证书，自愿接受签证机关的处罚及负法律责任。现将有关情况申报如下：生产单位生产单位联系人电话中文品名H.S编码数（重）量FOB值（美元）产品进口成份*商业发票号商品FOB总值（以美元计）贸易方式（请在相应的“”内处打勾）一般贸易灵活贸易零售贸易展卖贸易其他贸易方式中转国/地区最终销售国拟出口日期申请证书（单）类型：（请在相应的“”内处打勾）1.普惠制原产地证明书；2.曼谷协定优惠原产地证明书；3.中国-东盟自由贸易区优惠原产地证明书；4.中国与巴基斯坦优惠贸易安排优惠原产地证明书；5.输欧盟农产品原产地证明书（输欧盟蘑菇罐头原产地证明书）；6.烟草真实性证书；7.中华人民共和国出口货物原产地证明书8.加工装配证明书；9.转口证明书；10.原产地异地调查结果单；11.其他原产地证明书（请列明_）备注：申报员(签名)：电话(手机)：日期： 年 月 日现提交出口商业发票副本一份，原产地证书一套，以及其他附件 份，请予审核签证。*注：“产品进口成分”栏是指产品含进口成分的情况，如果该产品不含进口成份，则填0%，若含进口成份，则此栏填进口成分占产品出厂价的百分比。普惠制原产地证明书（FORM A） ORIGINAL1.Goods consigned from (Exporters business name, address, country)Reference No.GENERALIZED SYSTEM OF PREFERENCESCERTIFICATE OF ORIGIN(Combined declaration and certificate)2.Goods consigned to (Consignees name, address, country)FORM AIssued inTHE PEOPLES REPUBLIC OF CHINA(country)See Notes overleaf3 Means of transport and route (as far as known)4.For official use5.Item num-ber6.Marks and numbers of packages7. Number and kind of packages; description of goods8.Origincriterion(see Notes overleaf)9.Grossweightor otherquantity10.Numberand date ofinvoices11.CertificationIt is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.12.Declaration by the exporterThe undersigned hereby declares that the above details and statements are correct, that all the goods wereproduced inCHINA(country)and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to -Place and date, signature and stamp of certifying authority-Place and date, signature and stamp of authorized signatory示样6-12 产品成本明细单产品成本明细单(每张表填一种商品，附上原材料发票复印件)申请单位注册编号： 填写人： 填写日期： 年 月 日申请单位联系人联系电话生产企业联系人联系电话品名（中英文）产品型号H.S编码产品计算单位货币单位产品所用原辅料、零部件名称H.S编码（国产原料H.S免填）原料原产地（进口的注明国别；国产的注明地区）原料计算单位原料单价单位用料（每件或每公斤等单位产品所用原料）原料价值（单价x单位用料）（人民币）国产进口填不下请加附页原料价值合计（人民币）加工费成本价（国产、进口原料价值+加工费）（人民币）成品出厂价（人民币）进口及来源地不明的原料价值占成品出厂价的百分比加工工序注：三资企业的成品出厂价按合同上的出厂价填写；三来一补企业的成品出厂价等于原料价值+加工费。例：茄克衫原辅料:面料、里料、松紧带、拉链、商标。面料的原料价值=单价50元X每件用料1.3米=65元示样6-13 从日本进口原料证明书Annex to Certificate of Origin Ref. No. CERTIFICATE OF MATERIALS IMPORTED FROM JAPAN WHICH WERE USED FOR MANUFACTURE OF THE GOODS DESCRIBED IN THE CERTIFICATE OF ORIGIN (Ref. No._) Issued in The PEOPLES REPUBLIC OF CHINA (country)Export GoodsMaterials imported from JapanDescriptionQuantityDescriptionQuantity Certificationit is hereby certified, on thebasis of control carried out,that the declaration by the exporter is correct place and date, signature and stampof certifying authorityDeclaration by the exporterThe undersigned hereby declares that the above details are correct Place and date, signature of authorized signatory示样6-14 贸促会一般原产地证书申请书示样6-15 一般原产地证书ORIGINAL1.ExporterCertificate No.CERTIFICATE OF ORIGINOFTHE PEOPLES REPUBLIC OF CHINA2.Consignee3.Means of transport and route5.For certifying authority use only4.Country / region of destination6.Marks and numbers7.Number and kind of packages; description of goods8.H.S.Code9.Quantity10.Numberand date ofinvoices11.Declaration by the exporterThe undersigned hereby declares that the above details and statements are correct, that all the goods were produced in China and that they comply with the Rules of Origin of the Peoples Republic of China.12.CertificationIt is hereby certified that the declaration by the expor